Template:LRINEC SCORE: Difference between revisions
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Be aware LRINEC score has not been prospectively validated, index of suspicion is key and 10% of the patients with a score < 6 had Necrotizing Fasciitis.<ref> Wong C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.</ref> The Score Score is based on '''CRP, WBC, Hb, Na, Cr, Glucose''' and a Score > 6 has '''PPV of 92%''' and '''NPV of 96%''' for necrotizing fasciitis. | |||
#CRP (mg/L) ≥150: '''4 points''' | #CRP (mg/L) ≥150: '''4 points''' | ||
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#Glucose (mmol/L) >10: '''1 point''' | #Glucose (mmol/L) >10: '''1 point''' | ||
===Grouping by Scores=== | |||
*Low Risk: score 5 | *Low Risk: score 5 | ||
*Moderate Risk: score 6– 7 | *Moderate Risk: score 6– 7 | ||
*High Risk: score >8 | *High Risk: score >8 | ||
A [http://www.hneed.com/storage/LRINEC%20algorithm.jpg proposed algorithm using the LRINEC score] | The scores may use to risk stratify patients with signs of cellulitis but concern for deep space infection. It is useful in context of a diagnosed or strongly suspected severe soft-tissue infection. A [http://www.hneed.com/storage/LRINEC%20algorithm.jpg proposed algorithm using the LRINEC score] | ||
Revision as of 21:21, 28 November 2015
Be aware LRINEC score has not been prospectively validated, index of suspicion is key and 10% of the patients with a score < 6 had Necrotizing Fasciitis.[1] The Score Score is based on CRP, WBC, Hb, Na, Cr, Glucose and a Score > 6 has PPV of 92% and NPV of 96% for necrotizing fasciitis.
- CRP (mg/L) ≥150: 4 points
- WBC count (×103/mm3)
- <15: 0 points
- 15–25: 1 point
- >25: 2 points
- Hemoglobin (g/dL)
- >13.5: 0 points
- 11–13.5: 1 point
- <11: 2 points
- Sodium (mmol/L) <135: 2 points
- Creatinine (umol/L) >141: 2 points
- Glucose (mmol/L) >10: 1 point
Grouping by Scores
- Low Risk: score 5
- Moderate Risk: score 6– 7
- High Risk: score >8
The scores may use to risk stratify patients with signs of cellulitis but concern for deep space infection. It is useful in context of a diagnosed or strongly suspected severe soft-tissue infection. A proposed algorithm using the LRINEC score
- ↑ Wong C. "The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections". Crit Care Med. 2004. 32(7):1535-41.